MS. AVA JESSELLA SABINE VAUGHAN LPC
NPI 1023526969
Counselor - Professional in Mooresville, NC
About Ms. Ava Jessella Sabine Vaughan Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. AVA JESSELLA SABINE VAUGHAN LPC (NPI 1023526969) is an individual professional provider in Mooresville, North Carolina, licensed in Virginia (0701007560) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newport News, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Ava Jessella Sabine Vaughan Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Ava Vaughan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mechanicsville, VA 23116
- Reassigned Medicare billing, Virginia enrollment
- 239 clinicians in this Medicare group
San Francisco, CA 94131
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Brightside Medical Of New Jersey PC
- 112 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ava Vaughan's NPI number?
The NPI number for Ava Vaughan is 1023526969. It was assigned to this individual provider in the NPPES registry on January 12, 2018. The provider is also known as Mrs. Ava Vaughan-Clayton M.Ed., Ncc.
Where is Ava Vaughan located?
Ava Vaughan practices at 108 Amelia Ln, Mooresville, NC 28117. The listed phone number is (276) 708-6287.
What is Ava Vaughan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Ava Vaughan enrolled in Medicare?
Yes. Ava Vaughan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ava Vaughan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ava Vaughan reassigns Medicare benefits to 2 organizations: Commonwealth Counseling Associates Inc (Mechanicsville, VA) and Brightside Medical Of New Jersey, P.C. (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ava Vaughan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ava Vaughan accept?
Health plans from Cigna Healthcare, Oscar Health and UnitedHealthcare list Ava Vaughan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ava Vaughan was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Ava Jessella Sabine Vaughan, LPC · NPI 1023526969
Professional provider in Mooresville, North Carolina. Individual provider, active in the CMS NPPES registry since January 12, 2018.
## Identity
- **NPI:** 1023526969 (Entity type: Individual)
- **Enumerated:** January 12, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701007560 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 108 AMELIA LN, Mooresville, NC 28117-9457
- **Phone:** (276) 708-6287
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Commonwealth Counseling Associates Inc (NPI 1851345805, Mechanicsville, VA); Brightside Medical Of New Jersey, P.C. (NPI 1811524754, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023526969) · Data from the CMS NPPES public registry.